PBL结合Seminar模式在留学生心血管病见习中的应用

Application of PBL Combined With Seminar Mode in Cardiovascular Disease Clinical Practice for International Students

目的探索以问题为基础的教学法(problem-based learning,PBL)结合Seminar模式在留学生心血管疾病临床见习的应用效果。方法选取2020年9月—2021年9月在广州医科大学附属第二医院心血管内科见习的2016级及2017级留学生各60名为研究对象。2016级临床医学留学生作为对照组,2017级临床医学留学生作为试验组。对照组采用以教师教授为主的传统教学模式。试验组实行PBL结合Seminar模式完成心内科见习。对比学生出勤率和对课程满意度评价,教师见习评价,以及见习综合考核成绩。结果试验组学生对两种教学模式的见习出勤率、学生对课程满意度评分高于传统授课组,差异有统计学意义(P<0.05)。试验组的教师见习评价指标,包括参与程度、分析推理能力、解决问题能力、文献查阅、归纳学习能力、创新思维、沟通表达能力、团队合作能力也均高于对照组,差异有统计学意义(P<0.001)。试验组见习综合考核成绩[(89.75±3.60)分]高于对照组[(81.61±4.22)分],差异有统计学意义(P<0.001)。结论临床医学留学生采用PBL结合Seminar模式更有助于提升临床见习的学习自主能动性,有助于临床思维的培养以及心血管见习重点知识的掌握,从而提高留学生心血管病学见习的教学质量。

Objective To explore the application effect of problem-based learning(PBL)combined with Seminar mode in the clinical internship of cardiovascular diseases for international students.Methods From September 2020 to September 2021,a total of 60 international students in the class of 2016 and 2017 who were interns in the department of cardiovascular medicine of the Second Affiliated Hospital of Guangzhou Medical University were enrolled in the study.The traditional teaching mode,which mainly relies on teacher instruction,was adopted for the control group.The students in the experimental group were required to complete their cardiology clerkship by implementing the PBL combined with Seminar mode.The students'attendance rate and the evaluation of course satisfaction,the evaluation of teacher probation,and the comprehensive evaluation of probation were compared.Results The students'attendance rate of the two teaching modes and the students'satisfaction rating of the course in the experimental group were higher than those in the traditional teaching group,and the differences were statistically significant(P<0.05).The evaluation indicators of teacher probation in the experimental group,including participation degree,analytical reasoning ability,problem solving ability,literature review,inductive learning ability,innovative thinking,communication and expression ability,and teamwork ability,were also higher than those in the control group,with statistical significance(P<0.001).The score of probation comprehensive examination in experimental group[(89.75±3.60)points]was higher than that in control group[(81.61±4.22)points],and the difference was statistically significant(P<0.001).Conclusion PBL combined with Seminar mode is more conducive to improving the independent learning initiative of clinical internship,the cultivation of clinical thinking and the mastery of key knowledge of cardiovascular internship,so as to improve the teaching quality of cardiovascular internship for international students.